Graham J M, McCollum C H, Crawford E S, DeBakey M E
Ann Surg. 1980 Feb;191(2):200-2. doi: 10.1097/00000658-198002000-00011.
As a result of abnormal flow patterns and hyperdynamic flow in arteries proximal to an arteriovenous fistula a particular susceptibility to atherosclerotic changes and aneurysmal deterioration develops. In the following report two patients are presented in which chronic arteriovenous fistulas existed for 15 and 33 years prior to correction. Each patient developed extensive and progressive aneurysmal dilation of the proximal arterial tree and subsequently required surgical resection and graft replacement.
由于动静脉瘘近端动脉血流模式异常和血流动力学亢进，动脉粥样硬化改变和动脉瘤恶化的易感性增加。在以下报告中，介绍了两名患者，他们在矫正前分别存在慢性动静脉瘘15年和33年。每名患者近端动脉树均出现广泛且进行性的动脉瘤扩张，随后需要进行手术切除和移植置换。
